Healthcare Provider Details

I. General information

NPI: 1093566234
Provider Name (Legal Business Name): HANNAH SILVEIRA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 03/27/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 BAKERS RIDGE RD
MORGANTOWN WV
26508-1500
US

IV. Provider business mailing address

444 MARLIN DR
PITTSBURGH PA
15228-1262
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-4300
  • Fax:
Mailing address:
  • Phone: 925-209-1443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number110897
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN711336
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95318268
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP029245
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number110897
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: